局部大面积破溃乳腺癌植皮患者围术期的全程个案管理

Whole case management in perioperative period of locally advanced breast cancer patients with skin grafting

  • 摘要:
      目的  探讨局部晚期乳腺癌植皮患者的围术期全程个案管理方法。
      方法  选取32例局部晚期乳腺癌患者进行全程个案管理。全程个案管理模式以小组的形式进行。个案护理师在围术期、出院后对患者实施全方位护理。
      结果  32例患者术后胸部所植皮片全部Ⅰ期成活,成活率100%。术后出现植皮区感染1例,感染率3.1%;创面愈合时间平均14 d;患者出院后3个月焦虑自评量表(SAS)得分低于出院时和入院时,差异有统计学意义(P < 0.01)。
      结论  积极有效的围术期全程个案管理可缓解患者情绪,促进患者康复。

     

    Abstract:
      Objective  To explore the perioperative case management of locally advanced breast cancer patients with skin grafting.
      Methods  Thirty-two locally advanced breast cancer patients were selected for the whole case management. The whole case management mode was set up in the form of a group. In perioperative period and after discharge, case nurses provided comprehensive care to patients.
      Results  All the skin grafts on the chest of 32 patients survived at Ⅰ stage, and the survival rate was 100%. Postoperative skin graft infection occurred in 1 case, the infection rate was 3.1%. The average wound healing time was 14 days. The score of Self-rating Anxiety Scale (SAS) at three months after discharge was significantly lower than that at discharge and admission (P < 0.01).
      Conclusion  Positive and effective perioperative whole case management can relieve patients' emotions and promote their recovery.

     

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